Provider Demographics
NPI:1437208139
Name:ADAMO, DEBORAH YVONNE (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:YVONNE
Last Name:ADAMO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 UNION ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-1928
Mailing Address - Country:US
Mailing Address - Phone:201-610-0399
Mailing Address - Fax:
Practice Address - Street 1:223 BLOOMFIELD ST
Practice Address - Street 2:SUITE 116
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4747
Practice Address - Country:US
Practice Address - Phone:201-610-0399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC006653001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical